CLINICAS DEL CAMINO REAL INC FILLMORE
NPI 1912123431
Clinic/Center - Federally Qualified Health Center (FQHC) in Fillmore, CA

NPI Status: Active since April 17, 2007

Contact Information

355 CENTRAL AVE
FILLMORE, CA
ZIP 93015
Phone: (805) 524-4926

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 05D0697936
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 03-31-2026

About CLINICAS DEL CAMINO REAL INC FILLMORE

This page provides the complete NPI Profile along with additional information for Clinicas Del Camino Real Inc Fillmore, a primary care provider established in Fillmore, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1912123431 assigned on April 2007. The practitioner's primary taxonomy code is 261QF0400X with license number 050000110 (CA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Clinicas Del Camino Real Inc Fillmore. The authorized official of this NPI record is Farhad Benharash (Chief Financial Officer)

NPI
1912123431
Provider Legal Name
CLINICAS DEL CAMINO REAL INC
Other Organization Name
CLINICAS DEL CAMINO REAL INC FILLMORE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
355 CENTRAL AVE FILLMORE, CA 93015
Location Phone
(805) 524-4926
Mailing Address
200 S WELLS RD SUITE 200 VENTURA, CA 93004
Mailing Phone
(805) 659-1740
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-17-2007
Last Update Date
06-07-2022
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A primary care provider (PCP) like Clinicas Del Camino Real Inc Fillmore sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License No.
050000110
License State
CA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

FARHAD BENHARASH

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(805) 659-1740

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G9088403OTHER (01)CAHEALTHY FAMILIES DELTA DE
HAP03907FOTHER (01)CAHEALTH ACCESS PROGRAM FAM
FHC03907FMEDICAID (05)CA 
ZZZ30474ZOTHER (01)CABLUE SHIELD
014891OTHER (01)CAHEALTHY FAMILIES ACCESS D
401251OTHER (01)CADELTA DENTAL
BCP03907FOTHER (01)CAEDS CDP EVERY WOMAN COUNT

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0697936
Facility Type
Federally Qualified Health Center
Certificate Effective Date
April 01, 2024
Certificate Expiration Date
March 31, 2026
Laboratory Director
GAGAN PAWAR
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Clinicas Del Camino Real Inc Fillmore in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1912123431, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 2 + 2 + 2 + 2 + 6 + 4 + 6 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1912123431.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Dentist (General Practice)
355 CENTRAL AVE, CLINICAS DEL CAMINO REAL, INC
FILLMORE, CA 93015
Nurse Practitioner (Family)
355 CENTRAL AVE
FILLMORE, CA 93015
Dentist
355 CENTRAL AVE
FILLMORE, CA 93015
Dentist
355 CENTRAL AVE
FILLMORE, CA 93015
Optometrist
355 CENTRAL AVE
FILLMORE, CA 93015
Internal Medicine
355 CENTRAL AVE
FILLMORE, CA 93015
Optometrist
355 CENTRAL AVE
FILLMORE, CA 93015
Dentist
355 CENTRAL AVE
FILLMORE, CA 93015
Nurse Practitioner (Women's Health)
355 CENTRAL AVE
FILLMORE, CA 93015
Physician Assistant
355 CENTRAL AVE
FILLMORE, CA 93015
Family Medicine
355 CENTRAL AVE
FILLMORE, CA 93015

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912123431, enumerated as an "organization" on April 17, 2007.

The provider is located at 355 CENTRAL AVE FILLMORE, CA 93015 and the phone number is (805) 524-4926.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.